The effect of polymer burs on microbiological reduction of carious dentin in deciduous teeth: a systematic review

Daniela Silva Barroso de Oliviera, Driely Barreiros, Léa Assed Bezerra da Silva, Raquel Assed Bezerra da Silva, Paulo Nelson-Filho, Erika Calvano Kuchler

Abstract


Background. Polymer bur is a new technology that proposes to conserve the dentin that is capable of remineralization. Aim: To conduct a quantitative systematic review to evaluate the effect of polymer burs on the reduction of Streptococcus mutans and Lactobacillus after dentin carious excavation in deciduous teeth. Methods and Material: Two reviewers performed the database to identify the relevant clinical papers. Only papers in English that compared polymer burs with other caries removal techniques with the microbiological aspects as an outcome were included. Papers that evaluated only permanent teeth were excluded. Risk of bias was also assessed. Individual study effect sizes were calculated using Cohen’s d formula for the comparisons of microorganism reduction before and after carious excavation. Results: The search resulted in 12 non-duplicated papers. After the revision, only 2 were selected. The quantitative evaluation demonstrated that polymer bur reduces microorganism levels in carious dentin. The larger effect size observed was for Streptococcus mutans in the polymer bur technique (r=0.84; d=3.12), followed by Lactobacillus in the carbide bur technique (r=0.83; d=3.03). Conclusion: Polymer burs promoted a significant reduction of microorganism levels, mainly Streptococcus mutans in carious dentin


Keywords


polymer burs, dental caries, Streptococcus mutans, Lactobacillus mutans removal

Full Text:

PDF

References


Electron microscopic struc-ture of two layers of cari-ous dentin. Ogushi K, Fusayama T. J Dent Res 1975; Sep-Oct;54(5):1019-26. PMID: 1058852.

New device for selective dentin caries removal. Bos-ton DW. Quintessence In-ternational 2003 Oct;34(9): 678-685. PMID: 14982221.

Removing carious dentin using a polymer instrument without anesthesia versus a carbide bur with anes-thesia. Allen KL, Salgado TL, Janal MN, Thompson VP. J Am Dent Assoc 2005 May; 136(5): 643-651. PMID: 15966653.

Efficiency of the polymer bur SmartPrep compared with conventional tungsten carbide bus bur in dentin caries excavation. Dammaschke T, Ronden-berg TN, Schäfer E, Ott KHR. Operative Dentistry 2006 Mar-Apr; 31(2):256-260. PMID: 16827030

Digital image analysis method to assess the per-formance of conventional and self-limiting concepts in dentin caries removal. Toledano M, Ghinea R, Cardona JC, Cabello I, Yamauti M, Pérz MM, Oso-rio R. J Den 2013; Aug;41 Suppl 3:e31-8. Epub 2013 Mar 15. PMID: 23507398

A comparative clinical study of various methods of caries removal in chil-dren. Soni HK, Sharma A, Sood PB. Eur Arch Paediatr Dent 2015 Feb; 16(1):19-26. PMID: 25391222.

Minimal intervention den-tistry: rationale of cavity design. Mount GJ. Opera-tive Dentistry 2003 Jan-Fev; 28(1): 92-99. PMID: 12540125.

In vivo comparison of re-duction in bacterial count after caries excavation with 3 different techniques. Za-kirulla M, Uloopi KS, Subba Reddy VV. J Den Child 2011 Jan-Apr; 78(1): 31-35. PMID: 22041006.

Differential resin-dentin bonds created after caries removal with polymer burs. Toledano M, Cabello I, Yamauti M, Osorio R. Mi-crosc Microanal 2012 Jun; 18(3): 497-508. PMID: 22640962

Performance of four den-tine excavation methods in deciduous teeth. Celiberti P, Francescut P, Lussi A. Caries Res 2006; 40(2): 117-123. PMID: 16508268.

Comparison of dentin car-ies excavation with poly-mer and conventional tungsten carbide burs. Meller C, Welk A, Zeli-gowski T, Splieth C. Quin-tessence Int 2007 Jul-Aug; 38(7): 565-569. PMID: 17694212.

A microbiological assess-ment of polymer and con-ventional carbide burs in caries removal. Isik EE, Ölmez A, Akca G, Sultan N. Pediatr Dent 2010 Jul-Aug; 32(4): 316-23. PMID: 20836951.

Evaluation of a self-limiting concept in dentinal caries removal. Silva NRFA, Carva-lho RM, Pegoraro LF, Tay FR, Thompson VP. J Dent Res 2006 Mar; 85(3): 282-286. PMID: 16498079.

Preferred reporting items for systematic reviews and meta-analysis: the PRISMA statement. Moher D, Lib-erati A, Tetzlaff J, Altman DG, PRISMA Group. Ann In-tern Med. 2009 Aug 18;151(4):264-9. PMID: 19622511.

Estimating the mean and variance from the median, range, and the size of a sample. Hozo SP, Djulbegovic B, Hozo I. BMC Med Res Mehtodol 2005 Apr 20;5:13. PMID: 15840177.

Cohen J (1988) Statistical power analysis for the be-havioral sciences. 2nd ed. New Jersey: Lawrence Erl-baum Associates.

Caries-removal effective-ness and minimal-invasiveness potential of caries-excavation tech-niques: A micro-CT investi-gation. Neves AA, Coutinho E, De Munck J, Meerbeek BV. J Den 2011 Feb; 39(2): 154-162. PMID: 21111770.

Role of Streptococcus mu-tans in human dental de-cay. Loesche WJ. Microbio-logical reviews 1986 Dec; 50(4): 353-380. PMID: 3540569.

Recovery of mutans strep-tococci on MSB, SB-20 and SB-20M agar media. Sara-via ME, Nelson-Filho P, Sil-va RAB, De Rossi A, Faria G, Silva LAB, Emilson CG. Arch Oral Biol 2013 Mar; 58(3): 311-316. PMID: 23149153.

Assessing the stage of car-ies lesion activity on the basis of clinical and micro-biological examination. Nyvard B, Fejerskov O. Communty Dent Oral Epi-demiol 1997 Feb; 25(1):69-75. PMID: 9088694.

Evaluation of clinical and microbiological features of deep carious lesions in primary molars. Ayna B, Çelenk S, Atakul F, Sezgin B, Özekinci T. J Dent Child 2003 Jan-Apr; 70(1):15-18. PMID: 12762602.

A tissue-dependent hy-pothesis of dental caries. Simón-Soro Á, Belda-Ferre P, Cabrera-Rubio R, Alcaraz LD, Mira A. Caries Res 2013; 47(6):591-600. PMID: 24080530.

Partial caries removal in primary teeth: association of clinical parameters with microbiological status. Lula ECO, Almeida Jr LJS, Alves CMC, Monteiro-Neto V, Ri-beiro CC. Caries Res 2011; 45(3):275-280. PMID: 21576960.

How “clean” must a cavity be before restoration? Kidd EA. Caries Res 2004 May-Jun; 38(3): 305-313. PMID: 15153704.




DOI: https://doi.org/10.5195/d3000.2016.56



Copyright (c) 2016 Dentistry 3000